Positive gain: rethinking the outcomes of dependency.

While independent behavior by older adults is routinely encouraged, some individuals can benefit from engaging in dependent behavior. In traditional views of dependency, dependent behaviors are considered maladaptive and dysfunctional. The purpose of this article is to consider the interactions between health professionals and older patients, the ways that dependent behaviors can lead to both positive outcomes for older adults, as well as serve as barriers to self-care and examine the role of nurses and institutions in interactions with older adults. An improved understanding of dependency and its relevance to nursing practice will contribute to a heightened awareness of the control dynamics occurring in everyday nursing care activities. An understanding of potential gains attained through dependency can add another dimension to assessment of a patient's progress and capability for present and future self-care.